We use the publicly-available Medical Information Mart for Intensive Care (MIMIC-III) v1.4 [1]}. This database contains de-identified EHR data from over 58,000 hospital admissions for nearly 38,600 adult patients. The data was collected from Beth Israel Deaconess Medical Center from 2001–2012. We examine a cohort of black and white patients in end-of-life care.
We examine patients who have a hospital stay which lasted at least 6 hours, and have either died in the hospital, were discharged to hospice, or were discharged to a skilled nursing facilityThis was done because the notes indicate some SNF patients are discharged on hospice without coding that into the EHR. (SNF). These experiments are repeated on a stricter definition of an EOL cohort (which excludes SNF patients) in [2]}, shows the same trends as this work, but with less statistical power because of smaller sample sizes.
Both our data extraction and modelling code are made availablehttps://github.com/wboag/eol-mistrust to enable reproducibility and further study [3]}.
